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:100826579(2010)0820724203(irondeficiency,ID),1/3,(irondefi2ciencyanemia,IDA)[1]19992000,12IDIDA7%2%,ID17%[2]WHO,551439%48%,IDA,IDIDA2[3]ID208016,6743%,IDA20002001[4],77ID40.3%,IDA7.8%IDA,(ID),IDA44.7%20.5%,,IDA12.3%,(5.6%),[3,526],[729],ID[4],,,IDIDAID(totalbodyiron,TBI),(irondepletion,ID)(irondeficienterythropoiesis,IDE)IDA3,[11]IDA,(Hb),,,ID,,,,Hb,(freeerythrocyteproto2porphorin,FEP),(irondeficiencywithoutanemia),[3]ID,,IDID624ID:1.:,,,IDA,[12]2.:,;,ID3.:4.,:,,,ID5.:427201008188CJCHCAug.2010,Vol18,No.8,1.,2.15g/L,(15%)3.Hb,IDA1.Hb,WHO,66110g/L;614120g/LHb,1000,Hb4%2.:(MCV)80fl,(MCH)27pg,(MCHC)310g/L3.:4.:4Hb20g/L5.IDA:4,,[12](serumferritin,SF)(15g/L),CRP,;(serumiron,SI)10.7mol/L(60g/dL);(totalironbindingcapacity,TIBC)62.7mol/L(350g/dL);(transferritinsaturation,TS)15%6.:(0)(:++++)15%IDA;,,,,7.:,12,,,IDAIDA,IDA,IDA,IDA,[3]IDA1.:2.:,3,60mg/d,;(400g/d)3.:24,12mg/(kgd),1,,14.:,46;,;1mg/kg,,15.:,;,;,6.:,IDA;,,;,,IDA,,3060mg/d[13]7.:IDA,HbIDA,[3,14](USPre2ventiveServiceTaskForce,USPSTF),612IDA[15],,:,46(527201008188CJCHCAug.2010,Vol18,No.8)36Hb,912Hb[1,14],Hb1,HbIDA1.:,,,,2.:,3.:,,,IDA,IDA,,:,,,,26mg/kg,,23CHb2,,VitB12,12mg/(kg),121,23834d,710d,232,4Hb20g/L,,,,[][1]KazalLA.Preventionofirondeficiencyininfantsandtod2dlers[J].AmFamPhysician,2002,66:121721224.[2]LookerAC,CogswellME,GunterEW.Irondeficiency2U2nitedStares199922000[J].MMWR,2002,51:8972899.[3]WHO/UNICEF/UNU.Irondeficiencyanemia:assessment,preventionamdcontrol2aguideforprogrammanagers[R].Geneva,2001:12132.[4].77[J].,2004,42:8862891.[5]Grantham2McGregorS,AniC.Areviewofstudiesontheeffectofirondeficiencyoncognitivedevelopmentinchildren[J].JNutr,2001,131(S):6492668.[6]LozoffB,JimenezE,HagenJ,etal.poorerbehavioralanddevelopmentaloutcomemorethan10yearsaftertreatmentforirondeficiencyininfancy[J].Pediatrics,2000,105:e512e61.[7]LozoffB,BeardJ,ConnorJ,etal.Long2lastingneuralandbehavioraleffectsofirondeficiencyininfancy[J].NutrRev,2006,64(5Pt2):S342S91.[8]McCanneJC,AmesBN.Anoverviewofevidenceforacaus2alrelationbetweenirondeftciencyduringdevelopmentanddeftcitsincognitiveorbehavioralfunction[J].AmJClinNutr,2007,85:9312945.[9]SachdevH,GeraT,NestelP.Effectofirosupplementationofmentalandmotordevelopmentinchildren:systematicre2viewrandomizedcontrolledcontrolledtrials[J].PubHealthNutr,2005,8:1172132.[10].IDA[J].,1989,272159.[11]CookJD.Diagnosisandmanagementofirondeficiencyane2mia[J].BestPractResClinHematol,2005,18:3192332.[12]SchollTO,ReillyT.Anemia,ironandpregnancyoutcome[J].Nutr,2000,130(s):4432447.[13]StoltzfusRJ,DreyfussML.Guidelinesfortheuseofironsupplementstopreventandtreatirondeficiencyanemia[R].InternatinalNutritionalAnemiaConsultativeGroup(INACG),1998:1246.[14]YipR,ParvantaI,CogswellME,etal.CDCRecommenda2tionstopreventandcontrolirondeficiencyintheUnitedStates[J].MMWR,1998,47(RR23):1229.[15]UnitedStatesPreventiveServicesTaskForce(USPSTF).Screeningforirondeficiencyanemia2includingironsupple2mentationforchildrenandpregnantwomen.[2008205204][EB/OL].http::2008205204627201008188CJCHCAug.2010,Vol18,No.8